Harris, Tyson

Harris, Tyson is an individual health care provider with primary practice located at 2500 S State St , South Salt Lake UT 84115-3164. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Harris, Tyson can be contacted via phone (385) 646-5000.

Contact Information

Primary practice address
2500 S State St South Salt Lake UT 84115-3164
Phone: (385) 646-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 9858818-3501 Utah
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1285033464
LBN Legal business name Harris, Tyson
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2014
Last updated May 24th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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